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Organization
PROHEALTH PARTNERS A MEDICAL GROUP INC
Active
Organization
PROHEALTH PARTNERS A MEDICAL GROUP INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PETER FERRERA MD (PRESIDENT)
(562) 299-5200
Entity
Organization
Contact information
Practice address
3650 SOUTH ST, SUITE 210, LAKEWOOD, CA 90712-1502
(562) 630-0910
(562) 630-4877
Mailing address
3650 SOUTH ST STE 210, LAKEWOOD, CA 90712-1527
(562) 630-0910
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GR006415Y
—
CA
01
—
ZZZ00491Z
BLUE SHIELD GROUP NUMBER
CA
Enumeration date
03/13/2007
Last updated
09/04/2025
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